FNS  Vol.9 No.4 , April 2018
Dietary Calcium and Overweight in Preschoolers: Is There an Association?
Abstract: Background: Several observational and experimental studies in humans and animals have noted an inverse relationship between calcium intake, particularly dairy products, and body weight and adiposity. However, these effects have not been consistently observed. Objective: To evaluate the relationship between calcium intake and anthropometric measures and adiposity in preschoolers. Methods: Cross-sectional study nested in a cohort born of 232 preschoolers from Diamantina, Minas Gerais, Brazil. The preschoolers underwent anthropometric (body mass index and waist circumference), adiposity (triceps and subscapular skinfold) and dietary (three 24-hour dietary recalls) evaluations. The association between calcium intake, adiposity and anthropometric measurements was performed using a logistic regression analysis. Results: The prevalence of overweight (overweight and obesity) among preschoolers was 17.24%. The average calcium intake was 480.51 mg/day. Only 7.7% of children reached their daily recommended intake value (800 mg/day), and calcium intake was equally low for both groups studied (p = 0.74). This study did not find a relationship between calcium intake and overweight or adiposity. Conclusions: Calcium intake was far below the recommendations for the age group studied, and no was identified association between low calcium intake and overweight or adiposity.
Cite this paper: Nobre, L. , Araújo, S. , Sobrinho, P. , Silva, K. , Ferreira, S. , Moreira, L. , Lamounier, J. and Franceschin, S. (2018) Dietary Calcium and Overweight in Preschoolers: Is There an Association?. Food and Nutrition Sciences, 9, 346-355. doi: 10.4236/fns.2018.94027.

[1]   World Health Organization (WHO). Obesity and Overweight. In: Global Strategy on Diet, Physical Activity and Health.

[2]   Instituto Brasileiro de Geografia e Estatística (IBGE) (2010) 2008-2009 (POF): Anthropometry and Analysis of the Nutritional Status of Children, Adolescents and Adults in Brazil. p. 130.

[3]   Onis, M., Blösner, M. and Borghi, E. (2010) Global Prevalence and Trends of Overweight and Obesity among Preschool Children. The American Journal of Clinical Nutrition, 92, 1257-1264.

[4]   Pierry, C., Mosca, L.N., Schena, C. and Santos, L.C. (2010) Food Consumption, Calcium Intake and Anthropometry of Adolescents from Municipal and Private Schools in the Municipality of Santos, SP. Journal of Pediatrics (São Paulo), 32, 197-203.

[5]   Tylavsky, F.A., Cowan, P.A., Terrell, S., Hutson, M. and Velasquez-Mieyer, P. (2010) Calcium Intake and Body Composition in African-American Children and Adolescents at Risk for Overweight and Obesity. Nutrients, 2, 950-964.

[6]   Goldberg, T.B.L., Silva, C.C., Peres, L.N.L., Berbel, M.N., Heigasi, M.B., Ribeiro, J.M.C., Suzuki, K., Josué, L.M.A. and Dalmas, J.C. (2009) Calcium Intake and Its Relationship with Risk of Overweight and Obesity in Adolescents. Archivos Latinoamericanos de Nutrición, 59, 14-21.

[7]   Berkey, C.S., Rockett, H.H., Willett, W.C. and Colditz, G.A. (2005) Milk, Dairy Fat, Dietary Calcium, and Weight Gain: A Longitudinal Study of Adolescents. Archives of Pediatrics & Adolescent Medicine, 159, 543-550.

[8]   Moore, L.L., Singer, M.R. and Bradlee, M.L. (2010) Dairy Intake and Anthropometric Measures of Body Fat among Children and Adolescents in NHANES. Journal of the American College of Nutrition, 27, 702-210.

[9]   Gunther, C.W., Branscum, P., Kennel, J., Klein, E.G., Monnat, L.E. and Kaye, G. (2013) Examination of the Relationship of Dairy Product Consumption and Dietary Calcium with Body Mass Index Percentile in Children. International Journal of Child Health and Nutrition, 2, 1-8.

[10]   Moreira, P., Padez, C., Mourão, I. and Rosado, V. (2005) Dietary Calcium and Body Mass Index in Portuguese Children. European Journal of Clinical Nutrition, 59, 861-867.

[11]   Noel, S.E., Ness, A.R., Northstone, K., Emmett, P. and Newby, P.K. (2011) Milk Intakes Are Not Associated with Percent Body Fat in Children from Ages 10 to 13 Years. The Journal of Nutrition, 141, 2035-2041.

[12]   Spence, L.A., Cifelli, C.J. and Miller, G.D. (2011) The Role of Dairy Products in Healthy Weight and Body Composition in Children and Adolescents. Current Nutrition and Food Science, 7, 40-49.

[13]   Santos, L.C., Martini, L.A., Freitas, S.N. and Cintra, I.P. (2007) Calcium Intake and Anthropometric Indicators among Adolescents. Journal of Nutrition, 20, 275-283.

[14]   Zemel, M.B. (2003) Mechanisms of Dairy Modulation of Adiposity. The Journal of Nutrition, 133, 252-256.

[15]   Schrager S. (2005) Dietary Calcium Intake and Obesity. The Journal of the American Board of Family Practice, 18, 205-210.

[16]   Zemel, M.B. (2002) Regulation of Adiposity and Obesity Risk by Dietary Calcium: Mechanisms and Implications. Journal of the American College of Nutrition, 21, 1465-1515.

[17]   Zemel, M.B. (2004) Role of Calcium and Dairy Products in Energy Partitioning and Weight Management. The American Journal of Clinical Nutrition, 79, 907-912.

[18]   Lessa, A.C. (2010) Feeding and Growth in the First Year of Life: A Cohort Study. Thesis, Post-Graduation Program in Public Health, Federal University of Bahia, Salvador.

[19]   Nobre, L.N., Lamounier, J.A. and Franceschini, S.C.C. (2012) Preschool Children Dietary Patterns and Associated Factors. Jornal de Pediatria, 88, 129-136.

[20]   Portney, L.G. and Watkins, M.P. (2009) Foundations of Clinical Research: Applications to Practice. 3rd Edition, Pearson & Prentice Hall, Upper Saddle River, 892 p.

[21]   Jelliffe, D.B. (1968) Evaluación del estado de nutrición de la comunidad. Série de Monografias, 53, Organización Mundial de La Salud, Ginebra, 10-53.

[22]   Lohman, T.G., Roche, A.F. and Martorell, R. (1991) Anthropometric Standardization Reference Manual. Human Kinetics Books, Champaign, 90.

[23]   World Health Organization WHO (2006) Child Growth Standards: Length/ Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age: Methods and Development. World Health Organization, Department of Nutrition for Health and Development, Geneva.

[24]   Fernández, J.R., Redden, D.T., Pietrobelli, A. and Allison, D.B. (2004) Waist Circumference Percentiles in Nationally Representative Samples of African-American, European-American, and Mexican-American Children and Adolescents. The Journal of Pediatrics, 145, 439-444.

[25]   Willet, W.C. (1998) Nutritional Epidemiology. Oxford University Press, Nova York.

[26]   Burrows, T.L., Martin, R.J. and Collins, C.E. (2010) A Systematic Review of the Validity of Dietary Assessment Methods in Children When Compared with the Method of Doubly Labeled Water. Journal of the American Dietetic Association, 110, 1501-1510.

[27]   National Research Council (2000) Dietary References Intakes: Applications in Dietary Assessment. National Academy Press, Washington DC.

[28]   National Research Council (2002) Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients). National Academy Press, Washington DC.

[29]   National Research Council (2011) Dietary Reference Intakes for Calcium and Vitamin D. National Academy Press, Washington DC.

[30]   Willett, W.C., Howe, G.R. and Kushi, L.H. (1997) Adjustment for Total Energy in Epidemiologic Studies. The American Journal of Clinical Nutrition, 65, 1220-1285.

[31]   Sichieri, R., Coitinho, D.C., Monteiro, J.B. and Coutinho, W.F. (2000) Food and Nutrition Recommendations for the Brazilian Population. Brazilian Archives of Endocrinology & Metabolism, 44, 227-232.

[32]   Lanou, A.J. and Barnard, N.D. (2008) Dairy and Weight Loss Hypothesis: An Evaluation of the Clinical Trials. Nutrition Reviews, 66, 272-279.

[33]   Black, A.E. and Cole, T.J. (2001) Biased Over—Or Under-Reporting Is Characteristic of Individuals Whether over Time or by Different Assessment Methods. Journal of the American Dietetic Association, 101, 70-80.